The document discusses different locations where gas can accumulate in the abdomen and pelvis, including intraperitoneal, retroperitoneal, bowel wall, gallbladder, and abscess. It provides examples of various imaging findings that can indicate the presence of gas in these different locations and potential etiologies for how the gas may have accumulated in each space.
The lecture explains the steps of thinking while applying the principles of evidence based medicine on radiology.An example from real life is given and how to apply this type of thinking in order to achieve the best results.
This lecture prides 8 easy steps of scanning the neonatal brain through anterior fontanelle ,followed by examples of most commonly encountered abnormalities.
Radiological anatomy of abdominal spaces ...pathway of tumor and infection s...Ahmed Bahnassy
The lecture combines gross anatomy with cross sectional imaging in evaluation of different abdominal and pelvic cavities and recesses.This will explain the routes of spread of infection or malignancies.
Gram-positive anaerobic bacteria which form heat-resistant spores and also the causative organisms in cases of gas gangrene, tetanus, botulism, food poisoning and pseudomembranous colitis.
The lecture explains the steps of thinking while applying the principles of evidence based medicine on radiology.An example from real life is given and how to apply this type of thinking in order to achieve the best results.
This lecture prides 8 easy steps of scanning the neonatal brain through anterior fontanelle ,followed by examples of most commonly encountered abnormalities.
Radiological anatomy of abdominal spaces ...pathway of tumor and infection s...Ahmed Bahnassy
The lecture combines gross anatomy with cross sectional imaging in evaluation of different abdominal and pelvic cavities and recesses.This will explain the routes of spread of infection or malignancies.
Gram-positive anaerobic bacteria which form heat-resistant spores and also the causative organisms in cases of gas gangrene, tetanus, botulism, food poisoning and pseudomembranous colitis.
USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.vrchk912
A brief theoretical overview of the most frequently clinically encountered benign and malignant hepatic mass lesions in day to day practise. The X-Ray, USG, CT, MRI images and videos in the presentation may help in reaching the diagnosis of the lesion. The presentation also includes nuclear medicine and angiographic findings of the lesions.
chest x ray understanding is very important also complex.
radiologist will many times need clinical correlation.
but I have tried to cover a small bit of chest x ray pathologies.
I HAVE REFFERED MANY ONLINE RADIOLOGY WEBSITES AND ALSO BOOKS FOR MAKING THIS PPT.
Concise overview of all the information that a Medico must know for his knowledge as well as to appear for entrance exams as well as for physicians for their routine practice.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
4. FREE AIR
SENSITIVITY OF IMAGING STUDIES
COMPUTED TOMOGRAPHY 99%
LATERAL UPRIGHT CHEST RADIOGRAPH 98%
AP UPRIGHT CHEST RADIOGRAPH 80 - 90%
SUPINE ABDOMEN RADIOGRAPH ?
5. PNEUMOPERITONEUM
SENSITIVITY OF IMAGING STUDIES
RADIOLOGIC DEMONSTRATION DEPENDS ON:
– VOLUME OF FREE AIR
– TIME INTERVAL BEFORE IMAGING
– TYPE OF IMAGING
– CONDUCT OF IMAGING EXAMINATION
AS LITTLE AS ONE CC CAN BE DEMONSTRATED
10% OF PATIENTS WITH PERFORATED ULCERS
DO NOT DEMONSTRATE PNEUMOPERITONEUM
26. RETROPERITONEAL GAS
CAUSES
IATROGENIC
– SURGERY
– DIAGNOSTIC PROCEDURE
TRAUMA
– PENETRATING
– RUPTURED VISCUS
RETROPERITONEAL DUODENUM, COLON, RECTUM
PERFORATED BOWEL
SECONDARY TO TUMOR, INFECTION, OBSTRUCTION,
NECROSIS
CAUDAL EXTENSION OF PNEUMOMEDIASTINUM
GAS WITHIN ABSCESS
27. RETROPERITONEAL GAS
IMAGING
LITTLE CHANGE IN POSITION OR SHAPE WHEN
COMPARING SUPINE, UPRIGHT, DECUB
RADIOGRAPHS
BUT FREE INTRAPERITONEAL GAS IS FREELY MOBILE
TENDS TO STAY IN ONE RETROPERITONEAL
COMPARTMENT
DUODENAL PERFORATION…..RUQ ANTERIOR PARARENAL
SPACE
SIGMOID DIVERTICULITIS….. LLQ
PERIRENAL ABSCESS…………. PERINEPHRIC SPACE
OFTEN FORMS LINEAR, CURVILINEAR GAS
COLLECTIONS
29. RETROPERITONEAL GAS
IMAGING
BENEATH DIAPHRAGM CAN SIMULATE
PNEUMOTHORAX
LARGE VOLUME OF GAS CAN OUTLINE
RETROPERITONEAL STRUCTURES
KIDNEY, LIVER MARGIN, PSOAS, FLANK STRIPE
RETROPERITONEAL GAS CAN EXTEND
CEPHALAD TO MEDIASTINUM
FASCIAL PLANES OF BODY WALL AND EXTREMITIES
INTO PERITONEAL CAVITY
62. ABSCESS
SUSPECT AN ABSCESS WHEN RADIOGRAPHS
SHOW A GAS COLLECTION THAT IS ABNORMAL
BECAUSE OF PERSISTENCE ON MULTIPLE
VIEWS
GET HISTORY, PX, LAB DATA BY
CONSULTATION WITH ORDERING MD.
CONFIRM WITH CROSS-SECTIONAL IMAGING
69. PANCREATIC GAS
-only 3 causes
GAS IN PANCREATIC BED
– ABSCESS
– POST PANCREATIC DRAINAGE
PROCEDURE
PERCUTANEOUS OR SURGICAL
– PUESTOW PROCEDURE
– PSEUDOCYST
– PANCREATIC FISTULA